Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature
Objective. To improve the efficacy of endoscopic hemostasis for the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature. Materials and methods. In 2017-2020 yrs period the analysis of efficacy of endoscopic hemostasis was done in 160 patients, ageing 40-85 y...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Liga-Inform ltd.
2020-10-01
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| Series: | Клінічна хірургія |
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| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/858 |
| _version_ | 1797839521390264320 |
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| author | Ya. P. Feleshtynskyi S. O. Oparin B. V. Sorokin M. G. Boiarska D. V. Lutsenko |
| author_facet | Ya. P. Feleshtynskyi S. O. Oparin B. V. Sorokin M. G. Boiarska D. V. Lutsenko |
| author_sort | Ya. P. Feleshtynskyi |
| collection | DOAJ |
| description | Objective. To improve the efficacy of endoscopic hemostasis for the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature.
Materials and methods. In 2017-2020 yrs period the analysis of efficacy of endoscopic hemostasis was done in 160 patients, ageing 40-85 yrs old, for the ulcer gastro-duodenal hemorrhage. The patients were distributed into two groups: the main - 80 patients, in whom high-frequency biological welding electro-ligature was performed, and a control one - 80 patients, in whom monopolar thermal argon-plasm coagulation was conducted.
Results. In the main Group a primary hemostasis was achieved in 77 (96.3%) patients. Early recurrence of hemorrhage have occurred in 3 (3.8%) patients. In a control Group a primary hemostasis was achieved in 66 (82.5%) patients. Recurrence of the hemorrhage have occurred in 14 (17.5%) patients.
Conclusion. Endoscopic hemostasis for the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature, is achieved due to the impedance action of modulated signal of a high-frequency current as well as the adaptive system of automatic guidance of the welding process and a contact between special endoscopic probe, owing a concave electrode, with bleeding vessel, leading to its complete obliteration. Application of welding electro-ligature for endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature, guarantees more secure residual hemostasis, than application of monopolar thermal argon-plasm coagulation, peculiarly in hemorrhage from vessels owing 2 - 4 mm diameter. As a result, the hemorrhage recurrence rate have had reduced down to 3.8% (in the control Group - 18.0%). |
| first_indexed | 2024-04-09T15:59:16Z |
| format | Article |
| id | doaj.art-3a9fd76bfe024ac981d20a2472a9798f |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:59:16Z |
| publishDate | 2020-10-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-3a9fd76bfe024ac981d20a2472a9798f2023-04-25T13:54:16ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962020-10-01879-10141710.26779/2522-1396.2020.9-10.14858Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligatureYa. P. Feleshtynskyi0S. O. Oparin1B. V. Sorokin2M. G. Boiarska3D. V. Lutsenko4Shupyk National Medical Academy of Postgraduate Education, KyivKyiv Regional Clinical HospitalShupyk National Medical Academy of Postgraduate Education, KyivKyiv Municipal Clinical Hospital No 12Kyiv Regional Clinical HospitalObjective. To improve the efficacy of endoscopic hemostasis for the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature. Materials and methods. In 2017-2020 yrs period the analysis of efficacy of endoscopic hemostasis was done in 160 patients, ageing 40-85 yrs old, for the ulcer gastro-duodenal hemorrhage. The patients were distributed into two groups: the main - 80 patients, in whom high-frequency biological welding electro-ligature was performed, and a control one - 80 patients, in whom monopolar thermal argon-plasm coagulation was conducted. Results. In the main Group a primary hemostasis was achieved in 77 (96.3%) patients. Early recurrence of hemorrhage have occurred in 3 (3.8%) patients. In a control Group a primary hemostasis was achieved in 66 (82.5%) patients. Recurrence of the hemorrhage have occurred in 14 (17.5%) patients. Conclusion. Endoscopic hemostasis for the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature, is achieved due to the impedance action of modulated signal of a high-frequency current as well as the adaptive system of automatic guidance of the welding process and a contact between special endoscopic probe, owing a concave electrode, with bleeding vessel, leading to its complete obliteration. Application of welding electro-ligature for endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature, guarantees more secure residual hemostasis, than application of monopolar thermal argon-plasm coagulation, peculiarly in hemorrhage from vessels owing 2 - 4 mm diameter. As a result, the hemorrhage recurrence rate have had reduced down to 3.8% (in the control Group - 18.0%).https://hirurgiya.com.ua/index.php/journal/article/view/858the ulcer gastro-duodenal hemorrhage; endoscopic probe; endoscopic hemostasis; high-frequency biological welding electro-ligature; argon-plasm coagulation. |
| spellingShingle | Ya. P. Feleshtynskyi S. O. Oparin B. V. Sorokin M. G. Boiarska D. V. Lutsenko Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature Клінічна хірургія the ulcer gastro-duodenal hemorrhage; endoscopic probe; endoscopic hemostasis; high-frequency biological welding electro-ligature; argon-plasm coagulation. |
| title | Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature |
| title_full | Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature |
| title_fullStr | Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature |
| title_full_unstemmed | Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature |
| title_short | Endoscopic hemostasis in the ulcer gastro-duodenal hemorrhage, using high-frequency biological welding electro-ligature |
| title_sort | endoscopic hemostasis in the ulcer gastro duodenal hemorrhage using high frequency biological welding electro ligature |
| topic | the ulcer gastro-duodenal hemorrhage; endoscopic probe; endoscopic hemostasis; high-frequency biological welding electro-ligature; argon-plasm coagulation. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/858 |
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